Maa hospital and clinic

MEDICAL CERTIFICATE OF FITNESS TO RETURN TO DUTY

Signature/Thereby impression of patient _________________

I Dr.____Rajpalsinh Rathod_____Authorised Medical Attendant Registered

Medical Practitioner, do hereby that I have carefully examined She
/he___________________________ working/ studying in _______________
_________________, whose signature is given above and found that he/she has
illness on _______________ and is now fit to cure service with effect from
_______________ .
I above certify that before activating at this decision, I have examined the
original medical certificate and statement of the case on which leave was
granted or extended and have taken them into consideration in arriving at my
decision.
Place :- _________. Authorised medical attendant

Date :- _________.